Organization
JIMANI BLACKWELL DDS LLC
Active
Other names
enlightenDENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
JIMANI BLACKWELL DDS (OWNER/DENTIST)
(504) 507-0128
Entity
Organization
Contact information
Practice address
8015 MAPLE ST, NEW ORLEANS, LA 70118-2738
(504) 507-0128
Mailing address
8015 MAPLE ST, NEW ORLEANS, LA 70118-2738
(504) 507-0128
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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